On a stormy spring night at Coast Guard Air Station Elizabeth City, N.C., Coast Guardsmen stood watch, ready to respond at a moment’s notice. Following a busy afternoon of searching for two missing boaters, the evening was accompanied by nothing more than the occasional crackle of a VHF-FM radio, followed by prolonged silence.

Around 8 p.m. a call came in from a medical representative from the 952-foot cruise ship Carnival Splendor. A 50-year-old man suffered a heart attack and needed to get to a hospital.

The ship was 150 miles east of Cape Lookout, N.C., in the Atlantic Ocean and the Coast Guard was the most qualified to respond. As the search and rescue alarm sounded, it was operations normal for most, another chance to save a life.

However, for one junior petty officer, this medevac case was far from normal. He left out on his first rescue case since earning his spot as the 830th Coast Guard rescue swimmer and the journey he’s taken to get to this moment has been a challenging one.

Fresh out of rescue swimmer school and EMT school, Petty Officer 3rd Class Steve Scheren spent the last year training for this day and accomplished what he set out to do three years ago.

Scheren completed his 12-week airman program at Air Station Elizabeth City, where rescue swimmers challenged him mentally and physically on a daily basis to ensure he was prepared for his upcoming advanced training program.

After completing the prerequisite airman program, he began his 16-week rescue swimmer school in Elizabeth City, where he beat attrition rates averaging 50 percent and peaking at 80 percent.

Scheren spent countless hours in the pool building his strength and endurance, and in the classroom he built his foundational knowledge on medical response.

Tonight, as Scheren grabs his gear and runs toward the MH-60 Jayhawk helicopter, he’s confident he can save this 50-year-old man’s life.

Crews aboard an MH-60 Jayhawk helicopter and an HC-130 Hercules aircraft took off from the air station and headed out over the Atlantic Ocean as the sun began to fade over the horizon.

At approximately 9:30 p.m., the Hercules crew hailed the personnel of the cruise ship and began to discuss their plans for medevacing the man.

Meanwhile, the Jayhawk was en route, traveling nearly 180 mph. Scheren was aboard and had plenty to keep him busy while flying across open ocean toward the ship.

“I wasn’t trying to think of it as a first rescue,” said Scheren. “I was just thinking about my training and the procedures and protocols that I’d been taught.”

Running scenarios through his head, Scheren was making sure he had the equipment he needed and was thinking about what he had to do.

“Most Elizabeth City swimmers’ first rescue seems to be a cruise ship medevac,” said Scheren. “The procedure for getting people off [a ship] is pretty standard, unless you have unfavorable weather conditions. You’re going to follow a pretty simple plan.”

Having spoken to other swimmers in school and in his shop, Scheren heard stories of others’ first rescues, which helped the situation feel more natural and instilled confidence in him.

As the helicopter came to a hover off the port side of the cruise ship, Scheren realized how calm the conditions felt, speaking to the seasoned pilot’s ability to stabilize the aircraft in 20 mph winds and five to 10 foot seas.

As the flight mechanic connected the helicopter’s hook to Scheren’s harness and said “load check complete,” the only thing on his mind was making contact with the medical personnel and getting to the patient.

“When I got on scene, it was hard to differentiate who was who amongst probably 20 people,” said Scheren. “The first thing was to identify who I needed to be talking to-their doctor and nurse.”

Once Scheren made contact with the doctor, they led him inside the ship and into a small room where he first saw the survivor, who was conscious and in stable condition.

“I wanted him to feel comfortable with me,” Scheren said. “I wanted to put him at ease and not cause him any more stress than necessary.”

First, the ship’s nurse was hoisted into the helicopter.

The next order of business was to get the patient from the gurney to the litter. The survivor was rolled onto the deck of the ship, an area that provided a level and open platform for the gurney to be positioned beside the litter and for people to work. Scheren and some of the ship’s crew grabbed the sheet beneath the survivor and transferred the man onto the litter, where the spotlight of the helicopter greeted them.

Scheren signaled to the helicopter that he was ready for the survivor pickup. As the hook was lowered from the helicopter, he battled the 90 mph winds from the rotor wash as he connected the line to the litter.

Scheren gave a thumbs up to the awaiting flight mechanic hovering in the helicopter 30 feet above him. As the survivor rose above Scheren’s head, he took a moment to absorb what was going on around him.

“This was my first time hoisting a live person in the litter,” said Scheren. “I was a bit nervous, but I had a trail line, which allowed me to keep total control.”

The hook was lowered one final time and Scheren once again clipped it into his harness before dangling beneath the aircraft for 10 seconds surrounded by complete darkness.

Once in the helicopter, the door was closed, and Scheren hooked up equipment to the patient, giving him continuous readouts of the patient’s vitals, which would become crucial for the hospital staff.

“Having a nurse in the aircraft was very nice,” said Scheren. “Not just because she’s a higher level of care, but she was [also] able to give me a second set of eyes on the patient and gave me a comparison to how the survivor’s vitals were prior to my arrival.”

Scheren’s heart finally began to slow and his nerves began to calm as the survivor cracked a joke at him and the nurse.

“He was in good spirits,” Scheren said. “You could tell that he was feeling okay, compared to how he had been. That made it a lot easier for me. When you can interact with the survivor, you can get a much better idea of how they’re feeling and gauge their level of consciousness far more accurately.”

With 1.5 hours left to reach the air station, Scheren realized this was only the beginning of this rescue.

“I think the hoisting was the easy part,” he said. “It’s once you’re in the helicopter and just waiting to transfer to a higher level of care. You’re just sitting there waiting to see a change of vitals, whether it’s positive of negative. That was the more difficult part of it.”

After nine hours of combined flight time that day, the Jayhawk crew landed back at Air Station Elizabeth City. Plans had changed, and due to the duration of the flight, the crew met their maximum allowed flight time, requiring a crew change with the helicopter’s engines running.

The back up crew, who had been recalled from their homes a few hours prior, jumped into the helicopter and flew toward Sentara Norfolk General Hospital, where they safely delivered the heart-attack victim and cruise ship’s nurse, concluding Scheren’s first rescue-a successful one at that.

“You spend so long training, hearing instructors yell ‘so others may live,’ it’s nice to really feel that you’re living your creed,” said Scheren. “I’ve got a son and a wife at home that I love very much. Knowing that someone else is going to have a loved one that I was able to help is a very special thing.”